Individual
DANIELLE COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
220 N MAIN ST, SPRING LAKE, NC 28390-3820
(910) 600-1002
Mailing address
425 PITTFIELD RUN, CAMERON, NC 28326-3308
(910) 600-1002
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
C98191
NC
Other
Enumeration date
09/19/2022
Last updated
09/19/2022
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